Section 2506. Obstetric and pediatric practitioner incentive demonstration program


Latest version.
  • 1. There is hereby established in the department the obstetric
      and pediatric practitioner incentive demonstration program,  to  provide
      financial  support  for  obstetric  practitioners providing prenatal and
      obstetric  services  to  medically  needy   women   and   to   pediatric
      practitioners  serving children up to one year of age, to assist them in
      paying for professional liability insurance coverage  related  to  those
      services, within amounts appropriated for that purpose.
        2.  As  used  in  this  section,  the  following  terms shall have the
      following meanings:
        (a) "Obstetric practitioner". A physician who is board certified or an
      active candidate for board certification in obstetrics, a physician  who
      is  board  certified,  or  eligible  for  board certification, in family
      practice and provides obstetric services, a certified nurse midwife,  or
      an obstetric nurse practitioner.
        (b) "Pediatric  practitioner".  A physician who is board certified, or
      eligible for board certification, in pediatrics  or  a  pediatric  nurse
      practitioner.
        (c) "Prenatal  and  obstetric  services  to medically needy women" and
      "pediatric services for children up to one year of  age".  Prenatal  and
      obstetric  services provided by an obstetric practitioner, and pediatric
      services for children up to one year of age, in  private  individual  or
      group  practice,  or  comprehensive  diagnostic  and  treatment  centers
      pursuant to article twenty-eight of this chapter, to women and  children
      (i)  through  the  prenatal  care  assistance  program,  or  the medical
      assistance program under the social services  law;  or  (ii)  through  a
      program approved by the commissioner under this section, under which the
      services  are  provided without remuneration to the practitioner for his
      or her services; or (iii) who are not  covered  for  these  services  by
      subparagraph (i) of this paragraph or by private health insurance.
        3.  The  commissioner  is  authorized  to  contract with obstetric and
      pediatric practitioners to provide financial support for the costs  they
      bear  for their professional liability insurance coverage, to the extent
      that the cost is reasonably related or proportional  to  the  amount  of
      prenatal  and  obstetric and pediatric services to medically needy women
      and children up  to  one  year  of  age  the  practitioner  provides  in
      proportion  to  the  total  amount  of prenatal, obstetric and pediatric
      services the practitioner provides.
        4. Prenatal and obstetric services and pediatric services for children
      up to one year of age provided without remuneration to  the  obstetrical
      or  pediatric  practitioner,  for the purposes of this section, shall be
      provided as part of a program administered by  a  general  hospital  (as
      defined  in  article  twenty-eight  of this chapter) or a city or county
      health department, approved by the commissioner.
        5.  The  commissioner  shall  establish  regulations,  standards   and
      procedures  for  the  obstetric  and  pediatric  practitioner  incentive
      demonstration program, including but not limited to  quality  assurance,
      the   services  to  be  provided,  and  the  provision  or  records  and
      information by obstetric and pediatric  practitioners  applying  for  or
      receiving support under this section.
        6.  In  making  contracts  under  this section, the commissioner shall
      consider the extent to which the support  will  increase,  maintain  and
      improve the accessibility and quality of prenatal and obstetric services
      to  medically  needy  women and pediatric services to children up to one
      year of age, and shall assure that  support  is  reasonably  distributed
      geographically throughout urban and rural areas of the state.
        7.  On  or  before  February  first,  nineteen hundred ninety-two, the
      commissioner shall submit to the governor and the chairs of the assembly
    
      and  senate  committees  on  health  a  report  on  the  operation   and
      effectiveness  of  the  obstetric  and  pediatric practitioner incentive
      demonstration program, including any  recommendations  the  commissioner
      deems appropriate.